CeltiCare Update: Partners Now In Network
Partners now accepts both of the CeltiCare plans: CeltiCare Commonwealth Care and CeltiCare Comm Care Bridge. Initially, only MGH and BWH were in the network for CeltiCare's Commonwealth Care product for quaternary services, but now CeltiCare has agreed to reimburse all of our contracted sites for both types of members. This is good news, because it's been difficult for staff to differentiate the 2 products.
The Partners sites that are in the CeltiCare network include the following:
- MGH, the MGH health centers, and the MGPO
- BWH, the BWH health centers, and the BWPO
- NSMC, the NSMC health centers, and the North Shore Physicians Group
- Martha's Vineyard and Nantucket Cottage Hospital and their employed physicians
- NEW INFORMATION: Partners Rehab Hospitals are now fully participating in the CeltiCare network.
The Partners sites that are NOT in the CeltiCare network include the following:
- NWH
- McLean
- Partners Skilled Nursing Facilities (SNF benefits are not a covered benefit for Bridge members in any case)
- Partners Home Care (home care services are available through Care Centric, a carve-out)
- Faulkner (with the major exception that we should be reimbursed for patient services at the Faulkner when they are the result of normal business operations with BWH).
-From “CeltiCare - Important Updates” Kim Simonian, MPH, Associate Director, Patient Access, Partners HealthCare Community Benefit Programs, November 30, 2009.
12/09